Individual provider Active NPI

Lee Michael Mandel, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Hollywood, FL
National Provider Identifier
1851326029
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
ME67643 Issued in FL
Practice address
4400 Sheridan St
Hollywood, FL 33021-3514
Phone
(954) 983-1211
NPI assigned
Jul 12, 2006
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X ME67643 FL Primary

Addresses

Primary practice location

4400 Sheridan St
Hollywood, FL 33021-3514

Mailing address

4400 Sheridan St
Hollywood, FL 33021-3514
Phone (954) 983-1211

Other identifiers 14

IdentifierTypeStateIssuer
377302700MedicaidFL
5972804007OtherFLCIGNA
923524OtherFLFIRST HEALTH PPO
35001OtherFLVISTA OF SOUTH FLORIDA
809OtherFLTOTAL HEALTH CHOICE
2103463OtherFLAETNA
26580OtherFLNEIGHBORHOOD HEALTH
650799846OtherFLBEECHSTREET
27456OtherFLBLUE CROSS BLUE SHIELD
650799846OtherFLSOUTHCARE
7541OtherFLDIMENSIONS
27456TOtherFLMEDICARE
650799846OtherFLPREFERRED HEALTH NETWORK
0799828OtherFLGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000204 FL Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 8921080698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Sinus and Snoring Specialists, LLCGroup PAC ID 0547623209, 6 clinicians

Practice addresses (Care Compare)

1301 E Broward Blvd
Suite 240
Fort Lauderdale, FL 33301-2111
Phone (954) 983-1211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME67643FLMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tartell & Mandel MD LLC Plastic Surgery Within the Head & Neck CurrentSince Jun 5, 2004 Accepting new patients
Florida Sinus & Snoring Specialists, LLC CurrentSince Aug 1, 2023 Accepting new patients
Ear, Nose & Throat Associates of New York,P.C. Past Accepting new patients
ENT and Allergy Associates LLP Plastic Surgery Within the Head & Neck PastSince Jul 1, 2022 Accepting new patients
Pain Management Physicians PLLC Past Accepting new patients

Locations

6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267

1301 E Broward Blvd
Ste 240
Ft Lauderdale, FL 33301
Phone (954) 883-9449

4400 Sheridan St
Hollywood, FL 33021
Phone (954) 963-3500

100 NW 82nd Ave
Ste 104
Plantation, FL 33324
Phone (954) 236-0200

900 S Pine Island Rd
Ste 100
Plantation, FL 33324
Phone (954) 587-4218

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1851326029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213514",
            "telephone_number": "954-983-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213514",
            "telephone_number": "954-983-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "LEE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "ME67643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377302700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5972804007",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PPO",
            "identifier": "923524",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA OF SOUTH FLORIDA",
            "identifier": "35001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CHOICE",
            "identifier": "809",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2103463",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "26580",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "650799846",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27456",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHCARE",
            "identifier": "650799846",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSIONS",
            "identifier": "7541",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "27456T",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH NETWORK",
            "identifier": "650799846",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0799828",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.